asma em escolares de 13 e 14 anos do município de nova iguaçu, rio de janeiro, brasil: estimativas de prevalência, gravidade e diferenças de gênero asthma in 13-14-year-old schoolchildren in the city of nova iguaçu, rio de janeiro state, brazil: prevalence, severity, and gender differences

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ID: 250963
2007
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Abstract
O objetivo deste estudo foi descrever a prevalência, a gravidade e os sintomas associados à asma e sua relação com o gênero em escolares de 13 e 14 anos do Município de Nova Iguaçu, Rio de Janeiro, Brasil. Trata-se de estudo transversal, no qual se utilizou o questionário escrito auto-aplicável para asma do International Study of Asthma and Allergies in Childhood (ISAAC). Participaram 3.033 escolares de 37 escolas públicas e privadas selecionadas aleatoriamente. A prevalência de sibilância alguma vez na vida foi de 26% e nos últimos 12 meses (asma atual) de 11,7%, sendo essas taxas maiores entre as meninas (razão de prevalência - RP = 1,46; IC95%: 1,31-1,62 e RP =1,72; IC95%: 1,35-2,21, respectivamente). Sintomas associados à gravidade da doença, como distúrbio do sono e limitação da fala por sibilos, também se associaram positivamente com o gênero feminino (RP = 2,57; IC95%:1,77-3,73 e RP = 2,07; IC95%:1,25-3,43). A prevalência da asma mostrou-se menor quando comparada com as de outras cidades brasileiras, porém ainda é alta entre adolescentes de Nova Iguaçu, sendo mais freqüente e mais grave no gênero feminino. Outros estudos são necessários para explicar tais diferenças.
This study aimed to assess the prevalence and severity of asthma and related symptoms and the associations with gender in 13-14-year-old schoolchildren in the city of Nova Iguaçu, Rio de Janeiro State, Brazil. The cross-sectional study used the self-applied International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. The sample included 3,033 students randomly selected from 37 public and private schools. Prevalence of "any history of wheezing" was 26%, as compared to 11.7% within the last 12 months ("current asthma"), and was higher among girls (PR = 1.46; 95%CI: 1.31-1.62 and PR = 1.72; 95%CI: 1.35-2.21). Symptoms associated with severity, like "sleep disorders" and "speech limited by wheezing" were associated with female gender (PR = 2.57; 95%CI: 1.77-3.73 and PR = 2.07; 95%CI: 1.25-3.43). Although asthma prevalence was lower than in other Brazilian cities, it was still high among schoolchildren in Nova Iguaçu, and was more frequent and severe among girls. Further research is needed to explain the observed differences.
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kuschnir2007cadernosasma Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Fábio Chigres Kuschnir;Antônio José Ledo Alves da Cunha;Denise de Andrade Correa Braga;Heloísa Helena Nunes da Silveira;Melanie Hurel Barroso;Suzana Tschoepke Aires
Journal iberian conference on information systems and technologies, cisti
Year 2007
DOI
10.1590/S0102-311X2007000400019
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